WO2004093740A1 - Anchoring mechanisms for intravascular devices - Google Patents
Anchoring mechanisms for intravascular devices Download PDFInfo
- Publication number
- WO2004093740A1 WO2004093740A1 PCT/US2004/006325 US2004006325W WO2004093740A1 WO 2004093740 A1 WO2004093740 A1 WO 2004093740A1 US 2004006325 W US2004006325 W US 2004006325W WO 2004093740 A1 WO2004093740 A1 WO 2004093740A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- leaf spring
- anchoring mechanism
- elongated member
- unlocked
- flexible body
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/011—Instruments for their placement or removal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
- A61B2017/22049—Means for locking the guide wire in the catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/01—Filters implantable into blood vessels
- A61F2/013—Distal protection devices, i.e. devices placed distally in combination with another endovascular procedure, e.g. angioplasty or stenting
- A61F2002/015—Stop means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
Definitions
- the present invention pertains to anchoring mechanisms for intravascular devices. More specifically, the present invention relates to anchoring mechanisms for limiting travel of an intravascular device along an elongated member disposed within a body vessel.
- angioplasty for example, a physician will typically advance a guidewire having an attached embolic protection filter to a desired location within the body, and subsequently deploy a balloon catheter to dislodge embolic debris or thrombus from a lesion.
- the physician may wish to deploy more than one device during the procedure. For example, if the first embolic protection filter becomes occluded with debris dislodged during the angioplasty procedure, the physician may wish to replace the occluded filter with a second filter while maintaining guidewire position.
- an anchoring mechanism may comprise a leaf spring actuatable between an unlocked position and a locked position.
- the leaf spring may comprise a normally flat, flexible body having at least one opening configured to receive and grip the elongated member at one or more contact regions defined by the opening.
- the flexible body may comprise a first flat region, a second flat region, and a bend region therebetween configured to permit bending of the first flat region relative to the second flat region.
- the flexible body may comprise a multiple leaf spring having several alternating bend regions connecting several flat regions together in alternating fashion.
- the leaf spring may include one or more indentations to impart a particular degree of flexibility to the leaf spring.
- the leaf spring may include an indentation region at or near each bend region to permit greater flexion of the leaf spring at the bend region and reduce the spring's profile.
- a proximal and/or distal flat region of the leaf spring configured to align perpendicularly to the elongated member may be employed to ensure proper alignment of the leaf spring along the elongated member.
- the leaf spring can be attached directly to an intravascular device, allowing the intravascular device to be releasably secured to the elongated member.
- the leaf spring can be formed as a separate member and used as a stopper mechanism to limit travel . of the intravascular device along the elongated member.
- a locking tube slidably disposed about the elongated member may be utilized to actuate the leaf spring between the locked and unlocked positions within the body.
- the locking tube may include a bendable locking tab configured to permit the operator to withdraw the locking tube and engage the leaf spring.
- Figure 1 is a perspective view of an anchoring mechanism in accordance with an exemplary embodiment of the present invention, wherein the anchoring mechanism comprises a single leaf spring;
- Figure 2 is a view of the leaf spring along line 2-2 in Figure 1;
- Figure 3 is a partial cross-sectional view showing the leaf spring in a unlocked position along the elongated member
- Figure 4 is a partial cross-sectional view showing the leaf spring in a locked position along the elongated member
- Figure 5 is a perspective view of an anchoring mechanism in accordance with another exemplary embodiment of the present invention, wherein the anchoring mechanism comprises a multiple leaf spring;
- Figure 6 is a partial cross-sectional view showing the multiple leaf spring in an unlocked position along the elongated member
- Figure 7 is a partial cross-sectional view showing the multiple leaf spring in a locked position along the elongated member;
- Figure 8 is a partial cross-sectional view of an inner locking tube and delivery sheath in accordance with an exemplary embodiment of the present invention;
- Figure 9 is another partial cross-sectional view of the inner locking tube and delivery sheath of Figure 8, showing the inner locking tube withdrawn proximally;
- Figure 10 is another partial cross-sectional view of the inner locking tube and delivery sheath of Figure 8, showing the delivery sheath withdrawn proximally.
- FIG 1 is a perspective view of an anchoring mechanism 10 in accordance with an exemplary embodiment of the present invention.
- Anchoring mechanism 10 comprises a leaf spring 12 having a number of openings 14,16 configured to slidably and rotationally receive an elongated member 18 such as a guidewire or guide catheter therethrough.
- Leaf spring 12 comprises a preset curved, flexible body 20 that can be deformed when the elongated member 18 is inserted through the openings 14,16 in an over-under configuration, and when a compressive force is applied to the ends of the leaf spring 12, as indicated by arrow F in Figure 1.
- Leaf spring 12 can be actuated between an unlocked position and a locked position to prevent travel of an intravascular device (not shown) along the elongated member 18.
- Leaf spring 12 may be utilized as either a proximal or distal stop to prevent or limit movement of an intravascular device along the elongated member 18, or can be attached to or formed integrally with an intravascular device and used as a means to directly secure the intravascular device to the elongated member 18, as shown, for example, in Figure 3.
- leaf spring 12 is shown as a separate member configured to act as a proximal or distal stop to limit travel of an intravascular device (e.g. an embolic protection filter or probe) along the elongated member 18.
- an intravascular device e.g. an embolic protection filter or probe
- Flexible body 20 may include a first flat region 22, a bend region 24, and a second flat region 26.
- the first flat region 22 of flexible body 20 is distally sloped relative to the longitudinal axis of the elongated member 18, and includes a first opening 14.
- the second flat region 26 of flexible body 20, in turn, is proximally sloped relative to the longitudinal axis of the elongated member 18, and includes a second opening 16.
- the first and second flat regions 22,26 of flexible body 20 are configured to bend or flex about bend region 24 when subjected to an inwardly directed force F acting parallel to the longitudinal axis of the elongated member 18, orienting the first and second openings 14,16 in a direction that causes the leaf spring 12 to disengage from the elongated member 18.
- the leaf spring 12 may be formed of any number of suitable biocompatible materials, including metals, metal alloys, polymers, or combinations thereof.
- leaf spring 12 may comprise a metal or metal alloy such as stainless steel (e.g. type 304 or 316), platinum, titanium, tantalum, or other suitable materials.
- polymeric materials include polyethylene terapthalate (PET), polytetraflouroethylene (PTFE), polyurethane (Nylon) fluorinated ethylene propylene (FEP), polyurethane, polypropylene (PP), polyvinylchloride (PVC), polyether-ester, polyester, polyamide, elastomeric polyamides, block polyamide/ethers, polyether block amide (PEBA), silicones, polyethylene, polyether-ether ketone (PEEK), polyimide (PI), and polyetherimide (PEI).
- PET polyethylene terapthalate
- PTFE polytetraflouroethylene
- Nylon polyurethane
- FEP polyurethane
- PP polypropylene
- PVC polyvinylchloride
- PEBA polyether block amide
- silicones polyethylene, polyether-ether ketone (PEEK), polyimide (PI), and polyetherimide (PEI).
- PEBA Polyether block amide
- PEBA
- leaf spring 12 may be formed of a superelastic or linear elastic material such as nickel-titanium alloy, allowing the leaf spring 12 to undergo substantial bending with relatively little strain.
- a leaf spring 12 comprising a superelastic material may permit greater flexion of the leaf spring 12, particularly in applications where the leaf spring 12 is repeatedly bent between the locked and unlocked positions.
- leaf spring 12 may have an undulating shape formed by an indented region 28 of the flexible body 20.
- the reduction in width at the indented region 28 can be selected to impart a particular degree of flexibility to the leaf spring 12 at the bend region 24, depending on the particular application.
- the width of the flexible body 18 at the indented region 28 can be relatively small in comparison to the width of the first and second flat regions 20,26, allowing greater flexion of the leaf spring 12 about the bend region 24.
- FIG 2 is a view of the leaf spring 12 along line 2-2 illustrated in Figure 1, showing an end view of the leaf spring 12 in the unlocked position.
- opening 14 may be elliptical in shape, having a major axis A and a minor axis B.
- Two contact regions 30,32 on the major axis A of opening 14 are configured to contact the elongated member 18 in the locked position, but are sufficiently spaced apart such that, when the leaf spring 12 is longitudinally compressed, a small clearance 34 is formed between each contact region 30,32 and the elongated member 18 allowing the elongated member 18 to pass therethrough.
- Opening 16, which is indicated by a phantom line in Figure 2 may be dimensioned similarly as opening 14, providing a second set of contact regions on the second flat region 26 of flexible body 20.
- the dimensions of the openings 14,16 can be selected to permit the passage of variously dimensioned elongated members 18.
- the diameter of the openings 14,16 may be configured to receive an elongated member having an outer diameter, for example, of 0.008-0.037 inches, and more specifically 0.014-0.018 inches, corresponding to the size of many conventional guidewires used in the art.
- openings 14,16 are depicted as being elliptical in shape, those of skill in the art will recognize that other configurations are possible.
- FIG. 3 is a partial cross-sectional view showing the leaf spring 12 in an unlocked (i.e. compressed) position attached to an embolic protection filter 36.
- Embolic protection filter 36 may include an expandable filter membrane 38 coupled to a filter frame 40.
- the filter frame 40 may be formed of a wire loop 42 or other suitable support mechanism, and includes a support tube 44, which in the exemplary embodiment illustrated is attached to a third flat region 46 of the leaf spring 12.
- the support tube 44 is slidably and rotationally disposed about the elongated member 18 when leaf spring 12 is in an unlocked position, and releasably secured to the elongated member 18 when in the locked position.
- the first and second flat regions 22,26 bend or flex about bend region 24, orienting the openings 14,16 at a greater angle relative to the longitudinal axis of the elongated member 18, forming a small clearance 34 between the periphery of the openings 14,16 and the outer surface of the elongated member 18.
- the embolic protection filter 36 and attached leaf spring 12 may be moved along the elongated member 18 and placed at a desired location within the patient's body.
- embolic protection filter 36 can be advanced along the elongated member 18 to a location distal a lesion located within a body lumen.
- the leaf spring 12 can then be locked onto the elongated member 18, and a therapeutic device advanced along the elongated member 18 to perform a therapeutic procedure such as percutaneous transluminal coronary angioplasty (PTCA) at a location proximal the embolic protection filter 36.
- PTCA percutaneous transluminal coronary angioplasty
- the leaf spring 12 can be disengaged from the elongated member 18 and removed from the body.
- Figure 4 is a partial cross-sectional view showing the leaf spring 12 in a locked (i.e. uncompressed) position along the elongated member 18.
- the first and second flat regions 22,26 of flexible body 20 revert to their natural state and frictionally engage the elongated member 18.
- the first flat region 22 slopes distally in a direction more parallel to the longitudinal axis of the elongated member 18, forming a first set of contact points 48,50 about the periphery of the first opening 14.
- the second flat region 26 slopes proximally in a direction more parallel to the longitudinal axis of the elongated member 18, forming a second set of contact points 52,54 about the periphery of the second opening 16.
- the first and second set of contact points 48,50,52,54 grip the elongated member 18, preventing movement of the elongated member 18 through the first and second openings 14,16.
- Anchoring mechanism 110 comprises a multiple leaf spring 112 having a plurality of openings 162 configured to slidably and rotationally receive an elongated member 118 such as a guidewire or guide catheter.
- the multiple leaf spring 112 comprises a normally flat, flexible body 158 that can be deflected into a serpentine or saw-tooth shape when compressed in a direction substantially parallel to the longitudinal axis of the elongated member 118.
- multiple leaf spring 112 may have an undulating shape formed by one or more indented regions 160 of the flexible body 158.
- the materials used to form the multiple leaf spring 112 may selected to impart a particular degree of flexibility to the device.
- the multiple leaf spring 112 may be formed as a separate member and used as a proximal or distal stop, as shown in Figure 5, or can be attached to or formed integrally with the intravascular device to directly secure the device to the elongated member 118.
- the flexible body 158 may comprise a plurality of elongate regions 166 each having an opening 162 configured to slidably receive the elongated member 116 in an unlocked position, and frictionally engage the elongated member 118 in a locked position.
- Each opening 162 can be configured similar to the openings 14,16 depicted in Figure 2, defining two contact regions along the major axis of the opening 162 that grip the elongated member 118 when multiple leaf spring 112 is in the locked position.
- Flexible body 158 further comprises a number of bend regions 164 connecting the several elongate regions 166 together in alternating fashion such that each alternating elongate region 166 runs substantially parallel to each other.
- Each elongate region 166 is configured to bend in either a proximal or distal direction relative to the bend region 164, assuming a serpentine or saw-tooth shape when allowed to revert to its uncompressed (i.e. locked) position.
- flexible body 158 comprises eight alternating bend regions 164. However, it should be recognized that any number of bends 164 and/or elongate regions 166 may be utilized.
- a proximal flat region 168 of multiple leaf spring 112 is configured to align perpendicularly to the elongated member 118 in both the locked and unlocked positions.
- the proximal flat region 168 includes an opening having an inner diameter slightly larger than the outer diameter of the elongated member 118, providing a clearance fit with the elongated member 118. In use, the clearance fit prevents the proximal flat region 168 from becoming misaligned or tilted about the elongated member 118 as the multiple leaf spring 112 is advanced along the elongated member 118 in the unlocked position.
- a distal flat region 170 of the flexible body 118 similarly includes an opening through the distal end of the multiple leaf spring 112 that provides a clearance fit when the device is in either the locked or unlocked positions, preventing misalignment of the distal portion of the leaf spring 112.
- a centering bushing 172 may be used to further ensure that the leaf spring 12,112 is centered relative to the elongated member.
- multiple leaf spring 112 may include a centering bushing 172 comprising a tubular shaft section 174 having an outer diameter configured to fit within the opening formed through proximal flat region 168, and an inner diameter configured to slidably receive the elongated member 118.
- a flanged section 176 illustrated in Figure 6, can be used to fixedly secure the centering bushing 172 to the proximal flat region 168.
- Figure 6 is a partial cross-sectional view of multiple leaf spring 112, showing the multiple leaf spring 112 in an unlocked position along the elongated member 1 8.
- the several elongate regions 166 are aligned at a greater angel relative to the longitudinal axis of the elongated member 118, forming a small clearance 178 between the periphery of each opening 162 and the outer surface of the elongated member 118.
- the elongate regions 166 are allowed to expand longitudinally to their natural state and frictionally engage the elongated member 118.
- Each elongate region 166 slopes in alternating fashion in either a distal or proximal direction, orienting the respective openings 162 in a direction more parallel to the longitudinal axis of the elongated member 118.
- the change in alignment of the openings 162 caused by the expansion of the multiple leaf spring 112 creates several sets of contact regions 180 between the periphery of each opening 162 and the outer surface of the elongated member 118. In use, the contact regions 180 grip the elongated member 118, preventing movement of the elongated member 118 through the openings 162.
- Anchoring mechanism 210 in accordance with another exemplary embodiment of the present invention will now be described in the context of a therapeutic procedure employing an embolic protection filter 236.
- Anchoring mechanism 210 comprises a multiple leaf spring 212 similar to that discussed above with respect to Figures 5-7, but further including a joint 282 at the distal flat region 270 connecting the multiple leaf spring 212 to a support tube 244 of the embolic protection filter 236.
- Joint 282 may be formed by soldering, welding, brazing, adhesive or other suitable bonding process and may be rotatable and/or slidable on an elongate member 218.
- a delivery sheath 284 used to transport the embolic protection filter 236 in a collapsed position through the patient's vasculature is shown withdrawn proximally, with the filter membrane 236 in an expanded position.
- An inner locking tube 286 can be utilized to advance the multiple leaf spring 212 and embolic protection filter 236 along elongated member 218 (e.g. a guidewire) placed within the body.
- Inner locking tube 286 has a proximal section (not shown), a distal section 288, and an inner lumen 290 configured to slidably receive the elongated member 218.
- a distal segment 292 of the inner locking tube 286 has an enlarged inner diameter configured to constrain the multiple leaf spring 212 within a portion of the inner lumen 290.
- a locking tab(s) 294 on the inner locking tube 286 is configured to bend in an outward direction and engage the inner surface of the delivery sheath 284, maintaining the multiple leaf spring 212 in the unlocked position.
- inner locking tube 286 can be withdrawn proximally, causing the multiple leaf spring 212 to revert to its natural (i.e. uncompressed) state, as shown in Figure 9.
- the inner locking tube 286 and delivery sheath 284 can be retracted proximally along the elongated member 218 and removed from the body.
- the inner locking tube 286 can be held stationary while the delivery sheath 284 is withdrawn proximally. As the delivery sheath 284 is withdrawn, the locking tab 294 at the distal end 288 of the distal segment 292 bends in an outward direction to permit withdrawal of the inner locking tube 286 in the proximal direction. The inner locking tube 286 and delivery sheath 284 can then be retracted proximally along the elongated member 218 and removed from the patient's body, if desired.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002520635A CA2520635A1 (en) | 2003-04-02 | 2004-03-02 | Anchoring mechanisms for intravascular devices |
JP2006508992A JP2006521876A (en) | 2003-04-02 | 2004-03-02 | Endovascular device fixation mechanism |
EP04716467A EP1608290A1 (en) | 2003-04-02 | 2004-03-02 | Anchoring mechanisms for intravascular devices |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/405,546 | 2003-04-02 | ||
US10/405,546 US6902572B2 (en) | 2003-04-02 | 2003-04-02 | Anchoring mechanisms for intravascular devices |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004093740A1 true WO2004093740A1 (en) | 2004-11-04 |
Family
ID=33097119
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2004/006325 WO2004093740A1 (en) | 2003-04-02 | 2004-03-02 | Anchoring mechanisms for intravascular devices |
Country Status (5)
Country | Link |
---|---|
US (1) | US6902572B2 (en) |
EP (1) | EP1608290A1 (en) |
JP (1) | JP2006521876A (en) |
CA (1) | CA2520635A1 (en) |
WO (1) | WO2004093740A1 (en) |
Families Citing this family (66)
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- 2004-03-02 CA CA002520635A patent/CA2520635A1/en not_active Abandoned
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Also Published As
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EP1608290A1 (en) | 2005-12-28 |
JP2006521876A (en) | 2006-09-28 |
CA2520635A1 (en) | 2004-11-04 |
US6902572B2 (en) | 2005-06-07 |
US20040199198A1 (en) | 2004-10-07 |
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